| NPI | 1144661489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST AGAJANYAN Dentist 508-966-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855046) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-08-08 |